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Clergy Credential Application Form


Please provide a statement regarding your call to the Ministry (Email on Separate Paper)

Please describe your Conversion (Email on Separate Paper)

Please provide three Reference Letters. One from your Senior Pastor, and two from an Ordained Ministers.


Please use this email dr.lewis@rsota.org to e-transfer the application fee of 100.00 and the Yearly fee of 80.00. Please note. The application fee is non-refundable.

Personal Information








































Ministry  Information


























Education Ministry























Three Character References

Address and Phone












Employment Status

[Clergy Credential Application Form] - Position Applied For*

First Name:

Last Name:

Address*

City

Province*

Postal Code*

Phone*

Email Address

Birthday*

Marital Status

Spouse

Church Name

Pastor's Name

Church Address

Current Ministerial Status

Current and Recent Ministerial Activity - Organization

Date

Current and Recent Ministerial Activity - Fields Of Labor

Date

High School

College

University

(1) Name*

Address

Phone

(2) Name*

Address

Phone

(3) Name*

Address

Phone

Employment Status*

Signature/Name: By typing your name, you have agreed to the Policy and Conditions of RSOTA *

Date *

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